Provider Demographics
NPI:1124644083
Name:PASION, MARFIL NATIVIDAD
Entity type:Individual
Prefix:
First Name:MARFIL
Middle Name:NATIVIDAD
Last Name:PASION
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9781 CARICO WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-6387
Mailing Address - Country:US
Mailing Address - Phone:650-892-7402
Mailing Address - Fax:
Practice Address - Street 1:9781 CARICO WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-6387
Practice Address - Country:US
Practice Address - Phone:650-892-7402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPTA9193225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant